Measuring technology use as an instrumental activity of daily living in those with late life cognitive disorders

Technology use amongst older adults presenting for evaluations of cognitive decline is common for a range of daily activities. That being said, a digital divide still exists, with older age and less education predicting less applicability of technology-based iADLs. Despite stereotypes to the contrary, overall degree of dependence for technology was less than for traditional, largely analog based iADLs, likely due to the ability to automate some tasks (i.e., automatic bill pay). We discuss how these findings broadly fit in the larger technological reserve hypothesis, implications for clinical assessment of iADLs, and approaches for future proofing iADL measures.